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Rivastigmine (Molecule of the Month for October 2006)

Exelon, Prometax



Rivastigmine is an acetyl cholinesterase inhibitor that was developed by Novartis for the treatment of mild to moderate Alzheimer’s dementia.

In 2001, National Institute for Health and Clinical Excellence (NICE) has recommended that the three drugs donepezil, rivastigmine and galantamine should be made available in the NHS as one part of the management of some people with mild and moderate Alzheimer's disease.

However in 2006, NICE reversed its recommendation after appeal by the manufactures and said donepezil, rivastigmine and galantamine could be used to treat moderate stage disease, also NICE ruled another drug, memantine, should be used only in clinical studies for people with moderately severe to severe Alzheimer's disease. This means the early onset on Alzheimer's disease in its mild form cannot be treated by these drugs here in the UK.

Formal Chemical Name (IUPAC)
3-(1-(dimethylamino)ethyl)phenyl ethyl(methyl)carbamate

References

http://www.nice.org.uk/page.aspx?o=373237

http://en.wikipedia.org/wiki/Rivastigmine

Picture of Rivastigmine

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Rivastigmine structure
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Picture of Rivastigmine

C14 H22 N2 O2



Update by Karl Harrison
(Molecule of the Month for October 2006 )